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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARIA CLARK BLAKE PHD
NPI 1316932049
Psychologist - Clinical in Cincinnati, OH

Active since September 19, 2005Opted out of Medicare · through Oct 14, 2026
3358 MORRISON AVE, CINCINNATI, OH 45220(513) 961-1555 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Maria Clark Blake Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIA CLARK BLAKE PHD (NPI 1316932049) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (3423) and active in the NPI registry since September 2005. She has opted out of Medicare through October 14, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316932049
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARIA CLARK BLAKECredential: PHD
Location Address3358 MORRISON AVECincinnati, OH 45220-1434
Mailing Address3358 Morrison AveCincinnati, OH 45220-1434 · (513) 961-1555
Phone(513) 961-1555
Sole ProprietorNo
Enumeration DateSeptember 19, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1316932049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in OH · 3423✔ Licensed in KY · 399
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3358 MORRISON AVE, Cincinnati, OH 45220
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Maria Clark Blake Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 14, 2014 through October 14, 2026.

Opt-Out Effective DateOctober 14, 2014
Opt-Out In Effect ThroughOctober 14, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Blake's NPI number?

The NPI number for Maria Blake is 1316932049. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Maria Blake located?

Maria Blake practices at 3358 Morrison Ave, Cincinnati, OH 45220. The listed phone number is (513) 961-1555.

What is Maria Blake's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Maria Blake enrolled in Medicare?

No. Maria Blake has opted out of Medicare through October 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Maria Blake was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.